Charlene Eickholt PH.D.

NPI 1851532139 - Psychologist - 103TC2200X

NPI Details
NPI 1851532139
Gender Female
Enumeration Date 03/16/2009
Last Updated 03/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1405 NE BROADWAY
SUITE # 200
PORTLAND OR, 97232-1497, US
Phone (503) 288-5516
Fax
Business Location
1405 NE BROADWAY
SUITE # 200
PORTLAND OR, 97232-1497, US
Phone (503) 288-5516
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Oregon
License Number PSY1323
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According to our database, Dr. Charlene Eickholt PH.D. NPI is 1851532139, taxonomy code is 103TC2200X and license number is PSY1323, license state is located at Oregon. Charlene Eickholt PH.D. physically located at 1405 Ne Broadway, Portland OR, 97232-1497. NPI Number Charlene Eickholt PH.D. has the Individual type.

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1851532139 NPI number is provided on an as is basis without warranty of any kind. 1851532139 is maintained by the National Plan & Provider Enumeration System. The contents of Charlene Eickholt PH.D. are for informational purposes only.